Title III Reporting Forms
View Links, Handbooks, and Resources Here
2023-ITCA-Title-III-Reports per Service (1)
A Matter of Balance
Caregiver Training
Caregiver Outreach / Caregiver Information & Referral
Congregate Meals
Enhance Fitness
Home Delivered Meals
- Short Form Intake Document (SFID)
- 2024 Federal Poverty Guidelines _ ASPE
- SFID Service Matrix DES AZ DAAS
- SFID Overview Tribal Power Point
Long Term Care / Ombudsman
Public Benefit Outreach Project Form
- Client Contact fillable form
- Group Outreach and Education Form_PAM
- Media Outreach and Education form
- FPL and Income Eligibility Chart
Respite Care Forms
Socialization & Recreation
- SocRec-Monthly-Reporting-Form FY2025
- SocRec-Monthly-Reporting-Form
- SocRec-Monthly-Reporting-Form_Rev
- SocRec-Sign-in-Sheet2
- SocRec-Summary-Report_
Supplemental Handouts
- ITCA-Title-III-Reporting-summary-Tribes
- Clients Rights & Responsibility
- Grievance Procedure & Cost Sharing
- DAARS Instructions Rev 4.25
- Authorization for Release of Confidential Information
Transportation
8th Annual Arizona American Indian Youth Conference on Health and the Environment
“Road to a Healthy You and Your Environment”
June 22 – 24, 2015
Marriott University Park Hotel
Tucson, Arizona
Purpose
The Eighth Annual Arizona American Indian Youth Conference on Health and the Environment will provide information to motivate and encourage youth to take responsibility for their overall health and become better stewards of their environment.
Objectives and Activities
During the conference, youth will:
- Learn about health promotion and making healthy choices through fun and interactive workshops;
- Bring awareness that people’s health and well-being are directly connected to how we all treat the land, air and water;
- Prepare for higher education and become oriented to the University of Arizona
Target Audience
The conference is designed for American Indian youth ages 12 to 19 years old.
Location
The conference will be held at the Marriott University Park Hotel located at 880 E. Second Street, Tucson, Arizona 85719.
For more information about the conference location, visit the website at:
http://www.marriott.com/hotels/travel/tusup-tucson-marriott-university-park
Registration
The conference is open to the first 100 youth with paid registrations. Complete the following required forms (MSWord or PDF) and return to the Inter Tribal Council of Arizona, Inc. (ITCA), along with payment:
- Group Registration (Chaperones must include their names on the registration form)
- Youth and Parent/Guardian Release Form (Must be signed by youth and parent/guardian)
- Emergency Contact Information Form (Must be signed by parent/guardian)
- Chaperone Release Form (Must be signed by chaperone)
All registration forms are due by Friday, May 29, 2015, to ITCA
National Workgroup Summit for Personnel of Tribal Water & Wastewater Utilities, September 15-19, 2025, in Mesa, Arizona (Event ID #25030, in-person)
National Workgroup Summit for Personnel of Tribal Water & Wastewater Utilities, September 15-19, 2025, in Mesa, Arizona (Event ID #25030, in-person)
Includes:
- Training for Personnel of Tribal Water/Wastewater Utilities
- Federal Regulations Training Workshop
- Utility Resilience Training Workshop
- Utility Management & Finance Training Workshop
- 2025 Operator of the Year Award Ceremony
- Operator Certification Paper-Booklet Exam Session
- Travel Expense Reimbursement Stipends Available
Meets: Monday through Friday (in-person)
Dates: September 15-19, 2025
Times: 8 a.m. – 5 p.m. (local time)
Location: Mesa, Arizona
Description
Since 1983, the Tribal Water & Wastewater Utilities Workgroup meetings have been a forum for personnel of Tribal water and wastewater utilities to share ideas and concerns with peers, attend short training sessions, and contribute directly to the continuing development and planning of the certification, training, and technical assistance services provided by the Inter Tribal Council of Arizona, Inc. (ITCA).
As professional water/wastewater utility and environmental staff, your feedback is vital to maintaining the quality and effectiveness of the National Tribal Water & Wastewater Operator Certification Program at ITCA. You are encouraged to participate in the roundtable sharing session and bring ideas or suggestions to the meeting. The ITCA Program is your program and all input and suggestions are welcomed. The Tribal Water Utilities Workgroup meetings help ensure that these services are genuinely “by tribes and for tribes.”
Click here: Brochure & Registration Forms
Click here: Electronic Registration
Click here: Application for Certification and Need to Know Exam Criteria
MODULE I AND III PRESENTATION NOTES
- Module I Presentation Notes: Click Here
- Module III Presentation Notes: Click Here
- Installation Slide Show Notes: Click Here
ADDITIONAL REFERENCES AND PUBLICATIONS
Download the following electronic copies and store the items on work computers/thumb drives for class and future reference:
Federal Rule (40 CFR Part 280): http://www.epa.gov/oust/fedlaws/cfr.htm
USEPA Publications: http://www.epa.gov/oust/pubs/index.htm
• Closing Underground Storage Tanks – Brief Facts
• Automatic Tank Gauging Systems for Release Detection – Reference Manual for UST
Inspectors
• Operating and Maintaining UST Systems
• UST Systems: Inspecting and Maintaining Sumps and Spill Buckets
• Overfill Prevention: Best Management Practices for Your Underground Storage Tank
• Financial Responsibility: Best Management Practices for Your Underground Storage
Tank
• Spill Buckets: Best Management Practices for Your Underground Storage Tank
Legacy of the Inter Tribal Council of Arizona
Legacy of ITCA Project
The ‘Legacy of the Inter Tribal Council of Arizona’ Project (hereinafter referred to as “Project”) is analyzing the role of ITCA in the development of national Indian policy from the critical era following World War II to the present. The Project is exploring the role of Tribes in Arizona and ITCA in the development of federal self-determination policy and practices focusing on the perspectives of tribal leaders who founded and led the Association. The Project is also documenting the evolution of ITCA, including interviews with executive staff, identifying the goals and activities from its earliest years, as well as the strategies and tactics used by ITCA’s leadership in accomplishing collective goals over time.
TEC Partnerships
- Alaska Native Epidemiology Center
- Albuquerque Area Southwest Tribal Epidemiology Center
- California Tribal Epidemiology Center
- Great Lakes Inter-Tribal Epidemiology Center
- Northern Plains Tribal Epidemiology Center
- Northwest Tribal Epidemiology Center
- Rocky Mountain Tribal Epidemiology Center
- Oklahoma City Area Inter-Tribal Health Board Tribal Epidemiology Center
- United South & Eastern Tribes Tribal Epidemiology Center
- Urban Indian Health Institute Epidemiology Center
Tribal Training Officer
TRIBAL TRAINING OFFICER
ICS Train-the-Trainer Course Prerequisites
Prerequisite Course List:
☐ IS-100.b, Introduction to the Incident Command System (ICS), ICS-100.
☐ IS-200.b, Single Resources and Initial Action Incidents, ICS-200.
☐ ICS-300, Intermediate Incident Command System (ICS).
☐ ICS-400, Advanced Incident Command System (ICS).
☐ IS-700.a, National Incident Management System (NIMS), an Introduction.
☐ IS-800.b, National Response Framework (NRF), an Introduction.
☐ Demonstrate a working knowledge of ICS through experience and/or training.
Letter of Experience and/or Training:
☐ Previously attended classes in adult education. Formal instructor training such as college courses, National Wildlife Coordinating Groups Facilitative Instructor M410 course, Emergency Management Institute’s Master Trainer Program, National Fire Academy’s Instructional Methodology class, or DHS Office of Grants and Training’s Instructor Training Certification course, or equivalent (Fire Instructor II/III, EMS PI, EMA Instructional/Presentation Skills, FEMA Master Trainer, ILEA instructor, etc.)
Letter of IC, Command, General Staff positions:
☐ Participants must have worked as IC, command or general staff positions on incidents that went longer than one operational period or involved a written action plan and involved multiagency coordination.
Additional information on the Tribal Training Officer ICS Train-the-Trainer Course to be posted in the near future. The Tribal Training Officer Prerequisites are based on the FEMA/NIMS Instructor Training Prerequisites, dated February 2008.
Meetings/Events
Fiscal Year 2025 Meeting/Events
July 2024
*No Meetings
August 2024
AICOA Monthly Meeting
Thursday, August 1, 2024
via Zoom
September 2024
AICOA Monthly Meeting
Thursday, September 5, 2024
via Zoom
October 2024
AICOA Monthly Meeting
Thursday, October 3, 2024
via Zoom
November 2024
AICOA Monthly Meeting
Thursday, November 7, 2024 (Cancelled)
via Zoom
December 2024
AICOA Monthly Meeting
TBD
January 2025
AICOA Monthly Meeting
February 2025
AICOA Monthly Meeting
TBD
March 2025
AICOA Monthly Meeting
TBD
April 2025
AICOA Monthly Meeting
TBD
May 2025
AICOA Monthly Meeting
June 2025
AICOA Monthly Meeting
Training Materials
- ITCA Voter Education and Outreach Training Agenda
- Training Presenters List
- Maricopa County Community College District Candidates Forum
- Maricopa County Community College District Training Resources
- Native Vote Materials
- Arizona Advocacy Network Presentation
- Arizona Advocacy Network Propositions
- Election Protection Presentation
- Election Protection Brochure
- Register to Vote Article
Event post test
4/4/12 EVENT SAMPLE 1
Registration is closed for this event.
For more information or questions, please email: events@itcaonline.com